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Preparing For Your Liposculpture Surgery

Friday, April 19th, 2019

You will receive paperwork in the mail a few days after you schedule your surgery.  While it is tempting to rely on internet sources for information, there is a great deal of mis-information out there.  It is best to rely on Dr. Castillo’s PROFESSIONAL advice and instructions as he has over three decades of knowledge and expertise in this area.  Please take the time to thoroughly read through the material provided as it reviews the important information you will need for the days leading up to surgery.  Inside the packet you will also find a reminder for your pre-operative appointment.  This appointment typically occurs about 7-10 days prior to your surgery.

What To Expect At Your Pre-Op Appointment:

  • Pre-surgical weight & measurements will be recorded so that we can track your progress post-surgery.
  • Physical exam – During this visit, Dr. Castillo will perform a brief medical exam by listening to your heart and lungs, and asking some health-related questions.
  • Lab work 
  • Prescriptions – You will be given a prescription for pain medication. You will not be given an antibiotic as it is not needed for this type of procedure.
  • Before photos – A set of before photos will be taken for your medical records. You will receive a copy of them at your 1- or 3-week visit. Be sure to file these in a safe place in case you need to refer to them in the future.
  • Betadine Body Cleanser – You will be asked to wash the surgical regions with this cleanser (provided by us) beginning 3 days prior to surgery and again the morning of surgery. Don’t worry, the Betadine cleanser will not stain your skin but you must rinse it off just like regular body soap. It is not meant to remain on your skin.
  • Review of your surgical plan & recovery – One of Dr. Castillo’s best qualities is that he is thorough. He will walk you through your upcoming surgery and the recovery process. You will leave your pre-operative appointment withe a good understanding of what to expect.
  • Questions – If by chance Dr. Castillo did not touch on a question you have, now is the time to ask. Remember our goal is to make sure you are well informed so don’t be shy about asking. It’s your body after all!

10 Days Prior To Surgery:

  • Begin taking an iron supplement (Ferrous Gluconate).
  • Discontinue taking all Aspirin, Ibuprophen, Motrin, Advil, Aleve… (all NSAIDS). Also discontinue all Vitamin E (which may be in your multi-vitamin) and fish oil.
  • Because the above listed medications / supplements are all blood thinners and I strongly suggest removing all of the above blood thinner from your reach during this time. Taking them during with-in the 10-day period prior to your surgery could cause a significant medical complication. It’s too easy to take these for a headache or pain without thinking about it. Then it is too late.  We may need to postpone your surgery for your own safety.  If you accidently take one of the these prior to your surgery date, you MUST inform Dr. Castillo.  If you need a pain reliever during this 10-day prior, you can use Tylenol.

Personal Arrangements To Consider:

  • Liposcultpure is performed in under general anesthesia. This mean you will need to make arrangements for a friend or family member to drive you home after surgery.
  • We ask that you make arrangements for a responsible adult to stay with you for the first 24 hours after surgery.
  • Since many of our patients travel some distance to see us, Dr. Castillo has made special arrangements with the I-Hotel in Champaign to offer our patients a discounted “CASTILLO STAYCATION” package. This package includes transportation from our office back to the hotel on the day of surgery, dinner and breakfast for two and your hotel accommodations. Our office staff will be happy to assist you with those arrangements if you have questions.

The Night Prior To Surgery:

  • Wardrobe – select easy to slip on bottoms and shoes and a zip or button top to wear on the day surgery. Keep in mind that when we perform liposculpture, we inject tumescent fluid into the body. This fluid is going to leak back out of a few tiny little puncture areas for up to about 36 hours after surgery. Therefore, I would recommend NOT wearing your favorite outfit to surgery as it will be a little messy.  We will send you home with absorbent covers to sit or lay on to protect your furniture.
  • You will be asked to refrain from eating or drinking anything after midnight the night before your surgery.
  • Plan on having a quiet, relaxing evening and make getting a goods sleep a priority. Often patients arrive for surgery and tell me that they stayed up most of the night so they would sleep most the day after surgery. Lack of sleep is never helpful.  Having a well-rested mind and body can and will make all the difference during your recovery.

 

Warmly,

Roxanne Grace Hammond
Skincare & Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY http://www.cosmeticplasticsurgery.com

LIKE US ON FACEBOOK   http://www.facebook.com/DrCastilloCosmeticPlasticSurgery

800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington

 

Ask Our Expert – Will My Nose Get Smaller?

Tuesday, June 17th, 2014

Question:  I had Rhinoplasty two weeks ago.  Will my nose get smaller over time?

Answer: Dear reader, I would first encourage you to speak with your plastic surgeon regarding your concerns as he will be able to best answer your questions as your surgeon.  However, in general, two weeks is definitely too short of a time period to make any kind of decisions as to what the final outcome will be from your nose surgery.  Six to Eight weeks after surgery, you will be better able to evaluate the nasal dorsum. Ittakes time for swelling to settle down and for the nose to take its shape.

Rest assured that your nose will continue to change for up to one year post-surgery.

 

 

 

 

 

G.D. Castillo, M.D., FACS

COSMETIC PLASTIC SURGERY CENTER

Become a Facebook Fan of CPS @  http://www.facebook.com/pages/CosmeticPlasticSurgery
https://www.cosmeticplasticsurgery.com
800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington

Could Zinc be a Botox® Booster?

Thursday, January 24th, 2013

 

The effects of Botox®  and other botulinum toxin injections such as Dysport, and Myobloc are estimated to last about 3 – 4 months for the average patient.  However, in some cases it is observed that the effects can last for a longer or shorter period of time.  It has been observed that the results can even differ from treatment to treatment in the same patient without any real explanation as to why.  Dr. Charles Soparkar, an Oculoplastic surgeon from Texas noticed this in his practice and began to investigate.  He realized there may be a link between Botox® and Zinc.

Dr. Soparkar’s study was recently released indicating the mineral Zinc as a “Botox® Booster.” The study by Dr. Charles Soparkar and his team indicates that when patients in the study took Zinc Citrate 50 mg in combination with the enzyme phytase 3000U for four days prior to the injection, they saw not only an increase in the effectiveness of neurotoxins (Botox® Cosmetic, Dysport, Myobloc) but also in the longevity.

Neurotoxins such as Botox® Cosmetic, Dysport and Myobloc are used to temporarily smooth facial lines and to decrease spastic muscle movement.  Botulinum toxin is thought to require a certain baseline zinc level in the body because each molecule of the botulinum toxin must bind to a molecule of zinc to be effective. Phytase is an enzyme which increases the body’s ability to absorb zinc and is therefore thought to increase the effectiveness and duration of Botox® and the like. In this study, 92% of the patients who took both zinc citrate and phytase had on average a 30% increase in the duration of the Botox® injection and 84% of patients reported an improved effect when compared to Botox® with Zinc only or a placebo only. One thing to consider in this study is that it appears that over half of the patients were over the age of seventy. Could that explain the increased effectiveness of Botox® in this study since Zinc levels are often lower in patients of this age group?

This study was carried out by researchers from Baylor College of Medicine, MD Anderson Cancer Center, the Methodist Hospital and Weill Cornell University.   The patients in this study were being treated for blepharospasms, hemifacial spasms and facial wrinkles.

While this study may offer answers to why Botox® lasts longer in some patients, keep in mind that the author of this study has a patent pending for the use of zinc and phytase for enhancing the efficacy of botulinum toxins injections, which presents a conflict of interest for the author of the study. His pending patent is for a prescription supplement called Zytate, manufactured by OCUSOCT Inc.  Each prescription costs about $80.00 for a five day regimen.

If you find the effectiveness of your Botox® treatments to vary it could be worth testing your zinc levels. I hope the author of this study is on to something as I am sure both Dr. Castillo and our patients would be very excited if we would offer a option for more effective, longer lasting Botox®.  However, I would like to see the results of other large clinical trials on this topic done by other researchers before drawing a final conclusion.

 

Yours Truly,

Can we now offer a "Botox® Booster" to our patients for a longer lasting, more effective result?

Anti-Aging With Grace…

 

Roxanne Hammond, RMA
Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY  https://www.cosmeticplasticsurgery.com

LIKE US ON FACEBOOK: http://www.facebook.com/DrCastilloCosmeticPlasticSurgery
800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington

 

 

 

ILLICIT BOTOX™ SURFACES IN THE UNITED STATES

Wednesday, December 26th, 2012

The FDA, through its regulators, reportedly warned 350 medical practices that they may have purchased unapproved (presumed counterfeit) versions of the drug Botox™ from a network of wholesalers controlled by Canada Drugs, an international supplier that has been previously linked to fake cancer medicines.  This was reported in the Wall Street Journal on December 24, 2012.  Although little known to people (patients), physicians can go across the border and buy drugs from Canada.  When a practice does that, they take the risk of buying medications that are not approved by the FDA, and that have a significant potential for being counterfeit.  When one talks about expensive medications like Botox™ in which one vial sells in the United States for close to $700.00, the temptation and potential for abuse is huge.  Not only can these medications be fake and have absolutely no effect, they can also be harmful from the standpoint of the content, and also sterility.

 

As a consumer, it would be advisable that you would find out from your medical provider if the Botox™ that you are receiving comes from an approved source; that is, a legal representative from the company Allergan, which markets and has registered Botox™.  While physicians and patients can save big money by going outside of the United States and buying drugs in Canada or elsewhere, the potential for counterfeit, useless or harmful medication is high.  At Cosmetic Plastic Surgery with offices both in Champaign-Urbana (Savoy) and also in Bloomington-Normal, we stock and provide our patients with only 100% Botox™ that has been obtained through legal distributors in the United States from the company Allergan, where safety has been monitored through multiple steps, not only by the company, but by FDA representatives through their mandated and approved procedures.

Yours Truly,

G. D. Castillo, M.D., FACS
COSMETIC PLASTIC SURGERY https://www.cosmeticplasticsurgery.com

LIKE US ON FACEBOOK: http://www.facebook.com/DrCastilloCosmeticPlasticSurgery
800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington

Wrinkley, Crinkley Cleavage

Wednesday, December 26th, 2012

Wrinkley, Crinkley Cleavage

Have you have had that shocking moment where you stumble out of bed, make your way toward the shower, pass the mirror, catch a peek on the way and see…what…rub your eyes to get a more clear view, fumble for your spectacles, say a quick prayer, and head back for another look in the mirror… “what?  How can that be??? Chest wrinkles?  Chest wrinkles!  Really!  Oh come on, you’ve got to be kidding me.  This is not the best way to start a day.”

Score: Mirror – 1, Self-Esteem – 0.

Even those of us who have the greatest capability for denial somewhere down deep recognize that someday, far, far away of course, but some day, we will develop a few lines or wrinkles on our face…but on our chests??  Is this some kind of cruel joke?  “Is this nature’s way of punishing me for that time I didn’t return the shopping cart to the cart coral at Target because it was raining and I didn’t want my hair to turn into a frizz ball?”   Rest assured (though I know this is no real comfort) at some point most of us have a moment, maybe not a chest moment, but a moment where some part of the aging process knocks us off our feet for a bit.

The good news is science is prepared to re-inflate the bubble that nature just popped.  Bless the brilliant men and women who have dedicated their lives to creating and improving laser technology. There should be a holiday, maybe even two, named after them don’t you think?

Bride-to-be gets Co2 Micro-Fractional Laser Resurfacing to remove chest lines, brown spots and skin laxity before her big day!

The other good news is you are not sentenced to a life of hiding your wrinkled cleavage.  There are a few ways to correct the damaged skin of your chest.

1. Most importantly, PROTECT your chest from UV radiation.  Use a medical-grade, broad-spectrum, physical sunscreen that contains Zinc Oxide, Titanium Dioxide or both every day of the year. I recommend a sunscreen called Sun Defense by Castillo MD Skin Science.  It offers effective sun protection consisting of a 12% Zinc Oxide and 7.5% Octinoxate for both our cosmetic surgery and skin rejuvenation patients.

2.  Stay away from tanning beds, period.  They are the enemy!  UVA rays kill elastic fibers and will only create more damage to your skin.  Tan skin IS damaged skin.  Damaged skin will result in wrinkles eventually.

3. Use UV protective clothing and a wide brimmed hat to provide additional protection.

4. Talk with a board-certified cosmetic surgeon who has extensive experience with CO2 Micro-Fractional Laser Resurfacing on the chest.  (Just a side note: Dr. Castillo was one of the first Cosmetic Surgeons in the Mid-West to offer this procedure.)  Micro-Fractional Laser Resurfacing will decrease the lines of your chest (décolletage) while building collagen and tightening the treated skin.  It will also make a significant improvement to the texture of your skin and decrease or remove your brown spots and discoloration. In some cases more than one treatment may be necessary due to the delicate state of the chest skin.

5. Medical Grade skincare products – There are effective medical grades skincare products created to specifically treat the chest area.  These products will not solve your problem alone but work well to support and prolong the effects of CO2 Micro-Fractional Laser Resurfacing on the chest.

Yours Truly,

 

Laser Specialist at Cosmetic Plastisc Surgery in Illinois was one of the first to use a successful protocal with CO2 Micro-Fractional Laser Resurfacing for necks in the midwest.

Anti-Aging With Grace…

Roxanne Grace Hammond, RMA
Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY  https://www.cosmeticplasticsurgery.com

LIKE US ON FACEBOOK: http://www.facebook.com/DrCastilloCosmeticPlasticSurgery
800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington

 

 

No Cash For Clunkers!

Thursday, December 13th, 2012

No Cash For Clunkers!

Stop the guilt trip! It’s time to step off the bus. So you want a facelift… so what. Save yourself a great deal of agony and accept that you are unhappy with the lines, wrinkles, sagging skin and age spots that you see. Why do you feel the need to rationalize your feelings to anyone, including yourself?  Too often, in my opinion, people get caught up in trying to internally rationalize their desire to have facelift (or other self-improvements for that matter). Your face is the first thing people see. Of course you want to look your best.  Who wouldn’t?  You find yourself asking questions like “Why am I being so vain? What will my friends, family and co-workers think of me?  Am I too young for a facelift?  Am I too old for a facelift?”  Any of this sounds familiar?  If you’ve ever contemplated having a facelift then it probably does.

older couple in car

Dare to repair

The time to have a facelift isn’t really about a magic age you must reach.  The time to have a facelift occurs only if you are no longer happy with the way you look or if you feel like your face looks less energetic, less cheerful, less welcoming, or less youthful than you feel.  Working in the cosmetic surgery field, one thing I have realized is that we all have a different level of tolerance for aging.  Few of us are truly satisfied with aging gracefully and accepting whatever lumps, lines and skin laxity come our way. So why do we question whether or not it’s “okay” to take care of our bodies?

The truth is I can’t recall a single time that I have judged a friend for throwing on a box of Clairol to cover her grey or for bleaching her coffee stained smile at the dentist’s office. In fact, I have been known to encourage it on numerous occasions. Would you judge someone for maintaining a healthy diet and going to the gym every day to keep their body in top shape? Would you frown upon someone for sending their child to the orthodontist to insure straight teeth? Of course you wouldn’t. Would you judge a woman who walks in the room, dressed like she just stepped off the runway? No. You would commend her. You would want to know where she shops, what her skincare regimen is and how she stays so thin. She takes pride in the way she represents herself and that exudes self-respect.

Yet, we often agonize over the idea of admitting to ourselves or to others that we are no longer happy with how we are aging. You are entitled to be the best version of you that you can be!  Daily life can be challenging enough without looking into the mirror and seeing someone who looks tired, sad or over-worked staring back at you.  You might even begin to assume that role.  Feeling good about yourself can go a long way in improving your quality of life, joy and interpersonal relations. 

It seems odd to me that we as a society take great care in maintaining and updating our possessions, our homes, our automobiles, our wardrobes, even our cellphones, but the one thing that requires maintenance and cannot be replaced, “our body,” we are comfortable being quite lax in its care. Why is it acceptable to change the oil in your car or repair it’s dents, restore a fractured cell phone screen, renovate our home yet you feel guilt over electing to keep up on minor repairs to your own body? You only get one body in this life.  It’s not like you can trade it in because you didn’t keep up on its maintenance.  There will be no “Cash for Clunkers” trade-in offers coming your way.  So I believe the best thing you can do is take care of your body inside and out; keep up on little repairs as they come along.   No guilt, just maintenance for the body and spirit.

Roxanne Grace Hammond, RMA
Skincare and Laser Specialist
G. D. Castillo, M.D.
COSMETIC PLASTIC SURGERY

https://www.cosmeticplasticsurgery.com

 

LIKE US ON FACEBOOK:

http://www.facebook.com/DrCastilloCosmeticPlasticSurgery
800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington

 

 

 

 

The Weekend Facelift

Friday, November 30th, 2012

So you probably have heard the term “weekend facelift” and are having a difficult time imagining what it is.  Could it be a facelift that’s done on a weekend or is it a facelift that is easy to recover from in a weekend?  This procedure is remarkably effective at improving the jaw/neck line and correcting a double chin.  There are some caveats that one needs to know and understand because it is not a procedure that can be carried out in all patients.  In order to have a so-called weekend facelift, most of our Champaign and Bloomington, Illinois, patients need to be under the age of 55 and have a weak (recessed) chin.  Many of these people have a family history of double chins. They are quite familiar with fatty tissue in the neck at a young age in their family and begin to have issues in their mid-30s.

How is a weekend facelift performed?

This minimally invasive version of a facelift is carried out through a very small incision, typically smaller than 1 inch, right underneath the chin which is not noticeable. Through this incision, the fatty tissue in the neck area up to the jawline is removed. Sometimes a small amount of fatty tissue can be removed from the jowl area.  Through the same incision, a tight pocket for a chin implant is created just in front of the jaw. This portion of the procedure is referred to as a mentoplasty.  Through this same incision, the muscle structure in the neck area is tightened.  The result is a neck that is svelte with good definition in the jaw/neckline area. Facial symmetry is improved because the lower third of the face is more proportionate after the procedure. Visit my online photo gallery to see the results of a weekend facelift patient.

Who is not a good candidate?

People who are not good candidates for a weekend facelift are typically those above the age of 60 and those who have a very significant amount of loose skin in the neck area with significant wrinkling in the neck and/or folds. These individuals are usually better candidates for a traditional facelift.

What is recovery like after a weekend facelift?

The term minimally invasive surgery has been used to describe this procedure because there is little interference with the tissues during the procedure and recovery is typically easy.  Usual side effects are mild pain in the chin area for 2 to 3 days, bruising in the lower portion of the neck, some swelling in the anterior jaw area, and the neck area as well.

To find out more about the weekend facelift and other facial rejuvenation procedures, request a consultation online with Dr. G. D. Castillo or call one of our offices.

Doctor, Am I Ready For A Facelift?

Thursday, November 15th, 2012

A number of our patients present with the above question and related similarities, like am I too young for a facelift?  Is it better to do it when I have significant sagging?  Is it better to do it when I’m younger because my tissue will respond better?  Etc.

The first thing to remember is that when one has an issue with their appearance and considers a facelift, it’s typically because there are some jowls, some loose tissue in the neck, a double chin, facial wrinkling, etc.  The idea that we are aware of one or more of the above issues does not necessarily mean that other people realize or notice those things in our faces.  It is often only us that notice the problem and are quite self conscious about it.  It is because of that particular issue, and that is, that there is something that is bothering us and it affects the way we relate to other people because we are quite self conscious about it, that the answer lies 100% within ourselves.  No other person, that is, a physician, a loved one, a friend, or anyone else can truly advise someone when to have a facelift.  We need to take care and correct any and all of those issues when and if they bother us, because the truth is that once we have them fixed it may be that some people notice it, it may be that everyone notices it, or it may be that no one notices it.  Where it will have a significant and dramatic effect is in how we react to the surgery itself and the positive effect that it has in our attitude and in our self-esteem.

 

It is also helpful to remember that you can have one of two ways of thinking.  The first one is you may want to take care of issues before they become quite noticeable.  The reasoning behind this is that you will never really truly show the signs of aging because you have taken preventive measures and corrected those issues before they became noticeable.  On the other hand, you may have the train of thought of I am going to wait until I truly have issues because I may be able to take care of all issues at the same time.

 

There is no right or wrong answer.  The idea here is that in a competitive society where youth is valued over many other qualities.  The idea of remaining youthful and presenting an active, energetic figure makes sense to a lot of people.  In the final analysis, we always must remember that the effect of a facelift impacts one person alone – and that person is ourselves.  The positive effect that it has in interpersonal relations due to the increase in self-esteem makes us the direct beneficiaries of the procedure.

 

G.D. Castillo, M.D. FACS
Facelift Expert

Director of COSMETIC PLASTIC SURGERY CLINIC                                                                     https://www.cosmeticplasticsurgery.com

LIKE US ON FACEBOOK: http://www.facebook.com/DrCastilloCosmeticPlasticSurgery
800-252-7123 (within IL)
217-359-7508 Savoy (Champaign-Urbana)
309-662-0436 Bloomington